NCC223195_NOI 105043 Payment Verification_20220912

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/8/2022 5:10:23 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/9/2022 8:47:46 AM (Review - NOI 105043 Bojangles)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/8/2022 5:11 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 13, 2022 5:00
PM 9/8/2022 5:11 PM
by Workflow 9/9/2022 8:47:54 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/12/2022 7:44:29 AM (Payment Verification for NCC223195)
F 561 Lowcountry, LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/12/2022 7:44 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 21, 2022 5:00 PM
9/9/2022 8:48 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Bojangles
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-3195
Certificate of
NCC223195
Coverage (COC) No.*
Invoice Date
9/9/2022
Initial Invoice No.
NCC223195-2022
Initial Fee
$ 100.00
Invoice Due Date
10/9/2022
Important: If you change the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received*
Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
9/12/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
652374534
Transaction Number*
NOI Tracking No.
105043
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-CABAR-2022-Bojangles